- 作者: Valerie Chew, Chien-Huai Chuang & Chiun Hsu
- 作者服務機構: 1.Department of Medical Oncology, National Taiwan University Cancer Center, Taipei, Taiwan 2.Department of Oncology, National Taiwan University Hospital, Taipei, Taiwan 3.Duke-NUS Medical School, Singapore, Singapore 4.Graduate Institute of Oncology, National Taiwan University College of Medicine, Taipei, Taiwan 5.Translational Immunology Institute, SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore
- 中文摘要:
- 英文摘要:
Translational research plays a key role in drug development and biomarker discovery for hepatocellular carcinoma (HCC). However, unique challenges exist in this field because of the limited availability of human tumor samples from surgery, the lack of homogenous oncogenic driver mutations, and the paucity of adequate experimental models. In this review, we provide insights into these challenges and review recent advancements, with a particular focus on the two main agents currently used as mainstream therapies for HCC: anti-angiogenic agents and immunotherapy. First, we examine the pre-clinical and clinical studies to highlight the challenges of determining the optimal therapeutic combinations with biologically effective dosage for HCC. Second, we discuss biomarker studies focusing on anti-PD1/anti-PD-L1-based combination therapy. Finally, we discuss the progress made in our collective understanding of tumor immunology and in multi-omics analysis technology, which enhance our understanding of the mechanisms underlying immunotherapy, characterize different patient subgroups, and facilitate the development of novel combination approaches to improve treatment efficacy. In summary, this review provides a comprehensive overview of efforts in translational research aiming at advancing our understanding of and improving the treatment of HCC. - 中文關鍵字:
- 英文關鍵字: Anti-angiogenic, Genomic, Immune checkpoint inhibitor, Multi-kinase inhibitor, Transcriptomic